Jill Dovale, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

109373-01 Issued in NY

Practice address

303 5TH Ave RM 901
New York, NY 10016-6682

Phone

(646) 435-0755

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1306587464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 UNION ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151455",
            "telephone_number": "415-385-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 901",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166682",
            "telephone_number": "646-435-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVALE",
        "first_name": "JILL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "109373-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bintou Rahissa Doumbia, PA-C
• James H Doundoulakis, DMD,MS
• Robin Douthit, LCCE, CD(DONA), CLC
• Carla Joan Douyon, NP
• Maghalie Douyon, RN
• Vincent Akira Dovale
• Alison Dove, LMSW
• Arthur Renner Dove, M.D.
• Kathryn Dove, LCSW, PHD
• Lorna M. Dove, MD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.